Key result
Initiatives such as cognitive aids, emergency manuals, family participation, and remote monitoring are measures that can help reduce failure-to-rescue situations in the perioperative period.
Why the study?
Hospitals differ in the detection and adequate management of postsurgical complications, a phenomenon described as failure-to-rescue.
Do initiatives such as cognitive aids, emergency manuals, family participation, and remote monitoring reduce failure-to-rescue situations in the perioperative period?
Do initiatives such as cognitive aids, emergency manuals, family participation, and remote monitoring reduce failure-to-rescue situations in the perioperative period?
Improving the complete emergency chain, including monitoring, recognition, and response, is necessary to reduce failure-to-rescue situations in the perioperative period.
May support testing cognitive aids and remote monitoring to address failure-to-rescue; leaves open prospective validation.
PURPOSE OF REVIEW: This study indicates that there are differences between hospitals in detection, as well as in adequate management of postsurgical complications, a phenomenon that is described as 'failure-to-rescue'.In this review, recent initiatives to reduce failure-to-rescue in the perioperative period are described. RECENT FINDINGS: Use of cognitive aids, emergency manuals, family participation as well as remote monitoring systems are measures to reduce failure-to-rescue situations. Postoperative visit of an anaesthesiologist on the ward was not shown to improve outcome, but there is still room for improvement of postoperative care. SUMMARY: Improving the complete emergency chain, including monitoring, recognition and response in the afferent limb, as well as diagnostic and treatment in the efferent limb, should lead to reduced failure-to-rescue situations in the perioperative period.
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Posthuma et al. (2023) conducted a review in Perioperative deterioration and failure-to-rescue. Initiatives to reduce failure-to-rescue (cognitive aids, emergency manuals, family participation, remote monitoring) was evaluated. Initiatives such as cognitive aids, emergency manuals, family participation, and remote monitoring are measures that can help reduce failure-to-rescue situations in the perioperative period.
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